| LCA CASE NUMBER | I-200-21187-446106 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-06 |
| DECISION DATE | 2021-07-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Technologist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-06 |
| END DATE | 2024-07-05 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Freeport Memorial Hospital; Freeport Regional Healthcare Foundation |
| TRADE NAME DBA | FHN Memorial Hospital ; FHN |
| EMPLOYER ADDRESS1 | 1045 W. Stephenson St. |
| EMPLOYER CITY | Freeport |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 61032 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18155996706 |
| NAICS CODE | 622310 |
| EMPLOYER POC LAST NAME | Boeke |
| EMPLOYER POC FIRST NAME | Carol |
| EMPLOYER POC JOB TITLE | Talent Acquisition Specialist |
| EMPLOYER POC ADDRESS1 | 1045 W. Stephenson St. |
| EMPLOYER POC CITY | Freeport |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 61032 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18155996706 |
| EMPLOYER POC EMAIL | cboeke@fhn.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Schneider |
| AGENT ATTORNEY FIRST NAME | Maria |
| AGENT ATTORNEY MIDDLE NAME | T |
| AGENT ATTORNEY ADDRESS1 | 302 West Third Street |
| AGENT ATTORNEY ADDRESS2 | Suite 710 |
| AGENT ATTORNEY CITY | Cincinnati |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 45202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15133818472 |
| AGENT ATTORNEY EMAIL ADDRESS | maria.schneider@muimmigration.com |
| LAWFIRM NAME BUSINESS NAME | Musillo Unkenholt, LLC |
|
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1045 W. Stephenson St. |
| LCA CASE WORKLOC1 CITY | Freeport |
| WORKSITE COUNTY | STEPHENSON |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 61032 |
| LCA CASE WAGE RATE FROM | 32 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 30.59 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Fambro |
| PREPARER FIRST NAME | Chamyia |
| PREPARER MIDDLE INITIAL | T |
| PREPARER BUSINESS NAME | Musillo Unkenholt, LLC |
| PREPARER EMAIL | chamyia.fambro@muimmigration.com |
